Individual provider Active NPI

Katheryn Reifer, MS

  • Speech-Language Pathologist
  • Phoenix, AZ
National Provider Identifier
1003396995
Registry record updated Aug 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
TSLP11380 Issued in AZ
Practice address
4417 N 66TH Ave
Phoenix, AZ 85033-2712
Phone
(623) 691-2548
NPI assigned
Aug 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X TSLP11380 AZ Primary

Addresses

Primary practice location

4417 N 66TH Ave
Phoenix, AZ 85033-2712

Mailing address

5151 N 16TH St Apt 2013
Phoenix, AZ 85016-3810
Phone (732) 513-8663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
TSLP11380AZMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Stellar Home Health, LLC PastSince Jun 2, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1003396995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 N 16TH ST APT 2013",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163810",
            "telephone_number": "732-513-8663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 N 66TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850332712",
            "telephone_number": "623-691-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIFER",
        "first_name": "KATHERYN",
        "name_prefix": "Miss",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP11380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.